03D1106028 CLIA NUMBER - CARDIOVASCULAR CONSULTANTS, LTD

Laboratory Demographics

  • CLIA Code: 03D1106028
  • Facility Name: CARDIOVASCULAR CONSULTANTS, LTD
  • Facility Address: 18700 N 64TH DR SUITE 101
    GLENDALE, AZ
    ZIP 85308
  • Facility Phone: 602 867-8644
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAHOOL KAMIK
  • NPI Number: 1558523381
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D1106028
LAB Type Physician Office
Facility Name CARDIOVASCULAR CONSULTANTS, LTD
Street 18700 N 64TH DR SUITE 101
City GLENDALE
State AZ
ZIP 85308
Phone 602 867-8644
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Physician Office
Lab Director RAHOOL KAMIK

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This page was last updated on: 9/29/2025